Diagnostic value of cholesterol in pleural effusions.
Artigo
em Inglês
| IMSEAR
| ID: sea-90669
ABSTRACT
The separation of pleural effusions into transudates and exudates is the first task the physician must solve in evaluating a pleural effusion for management. Many criteria have been established, but without a definite efficacy of any of them. Cholesterol is an easy, effective, relatively cheap determination to differentiate transudates from exudates. In our prospective study of 40 patients, cholesterol best separated transudates from exudates. A pleural fluid cholesterol value of 60 mg/dl or above has sensitivity, specificity, PPV, NPV and efficacy of 100%, 93%, 96%, 92%, and 95.5% respectively. Pleural fluid to serum cholesterol ratio of 0.3 or higher has sensitivity, specificity, PPV, NPV and efficacy of 96%, 93%, 96%, 92%, and 95% respectively. P. CHOL and P/S CHOL ratio has a misclassification rate of 2.5% each. When both were combined all cases are clearly separated into transudates and exudates.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Derrame Pleural
/
Tuberculose Pleural
/
Feminino
/
Humanos
/
Masculino
/
Colesterol
/
Valor Preditivo dos Testes
/
Estudos Prospectivos
/
Derrame Pleural Maligno
/
Sensibilidade e Especificidade
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Idioma:
Inglês
Ano de publicação:
1995
Tipo de documento:
Artigo
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